Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.45 / $87.32 / $196.00	Facility		$32.45	$87.32	$196.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $61.49 / $106.46	Professional		$61.49	$61.49	$106.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.08 / $149.88 / $416.33	Facility		$96.08	$149.88	$416.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $26.35 / $86.20	Professional		$21.08	$26.35	$86.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Facility		$65.33	$65.33	$65.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $65.33 / $76.86	Professional		$65.33	$65.33	$76.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $65.33 / $86.80	Professional		$65.33	$65.33	$86.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.93 / $64.05 / $89.10	Professional		$63.93	$64.05	$89.10